NR 602 Midterm questions with correct answers
Physical Examination for AUB
Height, weight, body fat distribution and BMI
Vital signs (pulse, blood pressure, respiratory rate)
1. Color of skin and capillary refill (pallor is suggestive of
2. Thyroid examination
3. Assess for androgen excess
4. Breast exam is warranted if the patient reports
5. A visual field examination should also be performed in any patient
with headaches or galactorrhea (suggestive of Correct Answer-1. anemia
due to heavy menstrual bleeding)
2. (nodules or goiter)
3. (hirsutism, acanthosis nigricans, acne, alopecia)
4. breast changes or nipple discharge
5. pituitary adenoma)
Anticipatory Guidance (AG) for Early Childhood
According to the AAP recommendations for preventive pediatric health
care & the Bright Futures Guidelines, providers should offer AG in all
the following areas: Correct Answer-o family support,
o child development,
o mental health,
o healthy weight, healthy nutrition, physical activity,
o ORAL health, healthy sexual development & sexuality,
,o safety & injury prevention,
o social determinants of health
o they should also provide educational counseling & support services
AG for Early Childhood AG for toddlers & preschoolers
1. it helps parents & children transition from a highly dependent
relationship to one in Correct Answer-1. which the child has an
established sense of autonomy w/ an evolving understanding of the self
as a separate, creative, & powerful being.
AG for Birth to 2 yrs
1. ■ Exclusive breastfeeding for about the first 6 months provides ideal
nutrition, supports best growth and development; (blank) formula is
recommended substitute Correct Answer-iron-fortified
Birth to
1. Social determinants of health: Risks include
2. ■ Community agencies can help you with concerns about your living
situation. Programs like
3. Within the past 12 months, were you ever worried whether your food
would run out before you got money to buy more? this Q applies to
Correct Answer-1. (living situation and food security, environmental
tobacco exposure), strengths and protective factors (family support)
2. WIC (up to age 5) and SNAP (food stamps) are available to help
3. SNAP
, What ages does separation anxiety begin and peak Correct Answer-9 mo
to 18 mo
1. At what age do you need to begin prepping parents about safe
computer use?
2. This includes Put family computer in easily ? Correct Answer-1. 7-8
2. seen place; monitor computer use; install safety filter. How much do
you know about your child's Internet use
Exam: Other Milestones for girls
1. Adrenarche: onset of androgen-dependent body changes such as
2. Menarche:
3. Delayed Correct Answer-1. growth of axillary and pubic hair, body
odor, and acne occurs btw Age 6 - 8 yrs.
2. menstruation occurs at Age 12.7 yrs. (10.8-14.5 yrs.)
3. >1 yr if low body fat (e.g. athlete)
Exam: Growth in Girls
1. Peak height velocity:
2. Basal growth occurs up until
3. Pubertal Linear Growth (typically completed by Correct Answer-1.
11.5 yrs. (9.7-13.3 yrs.) • Peak growth: 8.3 cm/yr • Occurs during
Tanner Stage 2 - 3 in girls
2. Tanner Stage 2 • Basal Growth rate: 5.0 - 6.0 cm per yr from age 4
yrs. to Puberty (similar to boys)
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